Overview

Blood pressure is the force exerted by blood against the wall of blood vessels. The term hypertension, used to describe high blood pressure, it means elevation of blood pressure above the normal range. Normal range of Blood Pressure, of a healthy adult people is 120 mm of Hg systolic and 80 mm of Hg diastolic. When your BP is above the 140/90 mm of Hg, it is considered as high BP or hypertension.
These days, hypertension is a common cardio-vascular disease affecting worldwide population. A persistent and sustained high blood pressure has damaging effects on the heart, brain, kidneys and eyes. No system of medicine has succeeded to give complete relief in hypertension in modern medicines.

Blood pressure categories in new guidelines are:
[Source- American college of cardiology(ACC/AHA)]

Normal BP: less than 120/80 mm Hg
Elevated BP: systolic between 120-129 mm Hg, diastolic less than 80 mm Hg 
State-1: systolic between 130-139 mm Hg, diastolic between 80-89 mm Hg
Stage-2: systolic at least 140 mm Hg, diastolic 90 mm Hg
Hypertensive crisis: systolic greater than 180 mm Hg, diastolic greater than 120 mm Hg  

Types of hypertension?

Primary/Essential hypertension– It is the most common type of hypertension and has no specific underline cause.
Secondary Hypertension– It can be due to renal, vascular, endocrine disorders etc.

Concept of blood pressure in Ayurveda

Blood Pressure in Ayurveda is fundamentally based on theory of Tridosha. The blood is ejected out of the heart, then it is distributed to all parts of the body and thereafter, it is returned back to the heart through the siraha (blood vessels). This return of blood (Rasa) towards the heart is controlled by the function of Samana Vayu. Charaka clearly describes that Vyan-vayu constantly forces the blood out of the heart and distributes it. Thus, it can be said that the systolic blood pressure attained during contraction of heart is controlled by Vyana-vayu. it can be understood as Vyana-vayu and Prana-vayu denotes the nervous control of circulation, because in general, denotes all neural mechanism. Diastolic Blood Pressure can be taken under the domain of kapha dosha, mainly the Ava-lambaka Kapha (Kapha maintain the structural integrity of body organs) because it is the resistance offered by the structure of heart and blood vessels that controls that diastolic Blood pressure.

What are the causative factors of hypertension??

  • Intake of excess salt
    (WHO suggests that the growth of processed food industry has impacted the amount of salt in diet worldwide, and this plays an important role in increasing Blood Pressure)
  • Stressed and sedentary Lifestyle
  • Obesity
  • Chronic kidney disease
  • Hyperparathyroidism
  • Pregnancy
  • Adrenal gland disorders
  • Medications (such as birth control pills)
  • Excessive intake of tea, coffee and refined foods

Symptoms of hypertension??

Generally, hypertension is asymptomatic, but there is a way to diagnose hypertension by checking Blood Pressure regularly. There may be:

  • Severe headache
  • Nausea or vomiting
  • Pain at the back of neck (Occipital headache)
  • Confusion
  • Blurred vision
  • Nosebleeds

How to control hypertension through Ayurveda??

  • Take 2 grams of Sarpagandha (Ruawolfia serpentina) root powder with cold water twice a day, it also helps in insomnia.
  • A combination of Saptaparna (Ashtonia Scholaris) 15 gm twice a day for 21 days and 250 mg of Sarpagandha Ghanvati twice a day for 21 days. Saptaparna helps in relieving elevated diastolic blood pressure and somatic symptoms whereas Sarpagandha ghanvati is beneficial in reducing elevated systolic blood pressure and psycological symptoms.
  • Make a juice of 3-4 garlic cloves, 10-12 basil leaves, 1/4 cup of wheat grass and have it once a day.
  • Mix 1 teaspoon of onion juice with the equal amount of honey. Take this once a day for one week. Upon noticing improvement continue for several more days.
  • Mix 1 gram of garlic paste with a glass of buttermilk, drink this twice a day.
  • Grind 10 gram of roasted what watermelon seeds add this powder into cup of water and boil for 15 minutes strain the liquid and consume daily in morning and evening.
  • Have a glass of juice made of carrot, beetroot, cucumber and papaya in the morning.
  • Prabharkar Vati
  • Arjunarishta
  • Sarsvastarishta
  • Tab- Serpina
  • Tagar powder

(Do not start self-medication. Consult your doctor first before taking these drugs)

Herbs to manage hypertension??

Yoga and Pranayam

  • Rhythmic breathing
  • Nadi-Sodhana (Alternate breathing without retension of the breath)
  • Pawan muktasana
  • Shavasana
  • Bhastrika
  • Kapalbhati
  • Bhramri
  • Anuloma viloma
  • Meditation for 20 minutes

Recommended diet and Lifestyle??

  • Regular exercise
  • Reduce salt in your diet
  • Increase more amount of vegetable in your diet
  • Daily 6-8 hours of sleep
  • Avoid tea, coffee, meat and eggs
  • Avoid smoking, because smoking increase the heart rate.

Written by: Dr. Ranjeet Singh


References

1. Pharmacology for medical graguate, 3rd eddition-Author; Rara V Shenbhag & Smita snoy, Chap-03; drug acting on cvs, classification of hypertention, pg. no-110.
2.Gharelu upchar ki swasthaya vardhak margdarshika; by; dr. kuldeep raj, dr. Mayaram uniyal, Ayurvedamritam, Drug used in hyperention, pg-no- 94, ISBN-978-81-9066449-3.
3.Ayurvedic clinical practice, by; Vaidya vasant patil chap- 13, disease of heart& circulatory system, pg-no- 321, 322, 323, 324.
4.J-AIM article, pub-2017 NOV-17 understanding hypertention in the light of Ayurveda PMIC-PMC6314241, source- NCBI(ncbi.nlm.nih.gov.) concept of blood pressure in Ayurveda.
5.Ayurvedic home remedies, Pub-march 2010, BY; dr Pratap chauhan pg no- 92-93, ISBN-81-87153-79-2
6.AYU-vol-30.no 3(july-sep) 2009,Pg-no- 318-322, A clinical evaluation of saptaparna on essential hypertention.
7.Madhavbaug-research tril, multydisplinary cardiac care clinics and hospital.

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